Organization Active NPI

Psychollogical Wellness Center PA

  • Psychologist
  • Miami, FL
National Provider Identifier
1134466931
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7697 Issued in FL
Legal business name
PSYCHOLLOGICAL WELLNESS CENTER PA
Practice address
6401 SW 87TH Ave
Suite 114
Miami, FL 33173-2500
Phone
(305) 342-4426
NPI assigned
Jan 14, 2013
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marele Orozco, PSYDNPI 1659542462
Title
Psychologist
Phone
(305) 342-4426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7697 FL Primary

Addresses

Primary practice location

6401 SW 87TH Ave
Suite 114
Miami, FL 33173-2500

Mailing address

13509 SW 122ND Ave
Miami, FL 33186-6547
Phone (305) 342-4426

National Provider Directory

National Provider Directory

Locations

3001 Ponce de Leon Blvd
Ste 102
Coral Gables, FL 33134
Phone (305) 342-4426

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1134466931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13509 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866547",
            "telephone_number": "305-342-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 SW 87TH AVE",
            "address_2": "SUITE 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732500",
            "telephone_number": "305-342-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLLOGICAL WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "MARELE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-342-4426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.